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2d 638
When this case was last before us, we held that under the Equal Access to
Justice Act (EAJA), 28 U.S.C. Sec. 2412(d) (Supp. III 1985), Christine Russell
was entitled to an award of counsel fees and costs incurred by her in her
successful defense of a proceeding instituted by the Secretary to recoup an
overpayment of social security benefits. Russell v. Heckler, 814 F.2d 148 (3d
Cir.1987). We so held based on our conclusion that the Secretary's positions on
recoupment and the ensuing fee petition were not "substantially justified" as
that phrase is used in the EAJA. 28 U.S.C. Sec. 2412(d)(1)(A) (Supp. III 1985).
Following our decision, the Supreme Court granted certiorari, --- U.S. ----, 108
S.Ct. 2891, 101 L.Ed.2d 925 and ultimately remanded the case to us for
reconsideration in light of its decision in Pierce v. Underwood, --- U.S. ----, 108
S.Ct. 2541, 101 L.Ed.2d 490 (1988). We agree with the Secretary that the
Supreme Court returned this case to us so that we might review it with two
teachings of Pierce in mind:
3
Having reconsidered the issues presented in this appeal in light of these two
legal standards, we reach the same conclusion. Russell is entitled to an award
because the Secretary's position was not "substantially justified" and the district
court abused its discretion in concluding otherwise. Our explanation of this
result assumes knowledge on the reader's part of the factual setting described in
our earlier opinion.
Mrs. Russell's husband died at a time when she had two sons: James, then 15,
who lived with her, and Michael, then 9, who was mentally retarded and lived
in a nursing home under the custody of the state. Although Mrs. Russell did not
pay for Michael's care, she was consulted about his welfare and activities and
was "allowed to bring him home for an occasional week." She filed an
application with the SSA for mother's benefits, surviving child's benefits, and
benefits on behalf of another, i.e. Michael. To qualify for mother's insurance
benefits, an applicant must have at least one child in her care. Equally
important for present purposes, to be named as payee for a child's benefit, the
child must be in the care of the applicant.
10
12
James turned 18 and Russell did not notify the SSA because she believed that
Michael was in her care and that she remained eligible for mother's benefits. As
a result, she thereafter received mother's benefits to which she was not entitled.
13
The Secretary contended that Russell was not without fault because she should
"have read the application and known the simple conditions under which she
received benefits," i.e., that she have a child of decedent under 18 in her care;
and that she should have followed "the clear instructions given on the
application that [she] inform SSA when she no longer met those conditions."
14
The district court held that the Secretary's finding that Russell was at fault was
not supported by substantial evidence. On the other hand, the district court
subsequently concluded that the Secretary's position had been substantially
justified because there was a reasonable basis for the facts alleged, a reasonable
basis in law for the theory advanced, and a reasonable connection between the
facts and the legal theory. First, the district court stated that it was not
unreasonable for the Secretary "to impute knowledge concerning a basic
requirement for eligibility." Second, the court held:
15
Given
the clear meaning of 'in your care' in the English language, it was not
unreasonable for the Secretary to contend that Mrs. Russell should have known that
Michael was not in her care and that she was therefore at fault with respect to the
overpayments.
16
The problem with the district court's analysis, as well as with the position of the
Secretary, is that it takes into account only the advice contained in the
application forms that notice must be given when the applicant no longer has a
child in her care. Even assuming that the words "in your care" without more
would be sufficient to put Russell on notice that she was ineligible following
James's eighteenth birthday, she did not in fact receive this advice in a vacuum.
As we observed in our original opinion:
17this limited advice was not the only information tendered to Russell by the SSA in
...
connection with her 1974 applications for benefits and cannot be evaluated in
isolation. The oral advice that Russell received from SSA office representatives and
the message that she received from the Agency's approval of the application in
which she had disclosed the relevant facts regarding Michael's situation were
reasonably taken by Russell as an application of the "in your care" concept to the
specific facts of her case. We reject the Secretary's implicit contention that Russell
should have perceived an irreconcilable conflict between the Agency's apparent
interpretation of its own requirements and the otherwise unexplained phrase "in your
care."
18
Assuming that Russell was without fault in 1974 in understanding that Michael
was in her care, as we find she clearly was, we fail to see how the Secretary can
be substantially justified in maintaining that she was "at fault" on and after July
6, 1977 when the only change of circumstance on that date was that Russell
reasonably understood she had only one child in her care rather than two. The
Secretary's own regulations provide that a recipient failing to report an event
because of reliance on statements of Social Security personnel is without fault.
20 C.F.R. Sec. 404.510a (1977) ("Where an individual ... accepts such
overpayment because of reliance on erroneous information from an official
source within the Social Security Administration ... with respect to the
interpretation of a pertinent provision of the Social Security Act or regulations
pertaining thereto, ... such individual, in accepting such overpayment, will be
deemed to be 'without fault.' "). This is the substance of what occurred in this
case ...
19
Honorable Joseph J. Farnan, Jr., United States District Judge for the District of